SAMANTHA M CHARTERS


Address: 901 S National Ave, Athletic Medical and Rehab, Springfield, MO 65897
Phone: 4178365461

SAMANTHA M CHARTERS (NPI# 1154677912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154677912
Entity Type Individual
Full Name SAMANTHA M CHARTERS
Credential ATC
Practice Address 901 S National Ave
Athletic Medical and Rehab
Springfield
MO 65897
Mailing Address 3636 Taliluna Ave
Apt 227
Knoxville
TN 37919-7813
Practice Telephone 4178365461
Practice Fax Number 4178366101
Mailing Telephone 7573740279
Enumeration Date 2012-07-31
Last Update Date 2014-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 313005 TN Other Service Providers

Office Location

Street Address 901 S NATIONAL AVE
ATHLETIC MEDICAL AND REHAB
City SPRINGFIELD
State MO
Zip Code 65897

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841291747 Ivan Eugene Milton Specialist/Technologist 901 S National Ave, Springfield, MO 65804-0027 2005-08-02
1285245613 Bailee Nicole Mcafee Specialist/Technologist 901 S National Ave, Springfield, MO 65897-0027 2020-08-10
1942828256 Abigail Bjerken Specialist/Technologist 901 S National Ave, Springfield, MO 65897-0027 2020-07-13
1316561152 Alexandra Marie Woody Specialist/Technologist 901 S National Ave, Springfield, MO 65897-0027 2020-06-07
1003436585 Makenzie Lynn Abbott Physician Assistant 901 S National Ave, Springfield, MO 65897-0027 2020-04-24
1720610256 Jill Ashley Trotman Dietitian, Registered 901 S National Ave, Springfield, MO 65897-0027 2020-02-12
1487213898 Amanda Marie Bouchey I Specialist/Technologist 901 S National Ave, Springfield, MO 65897-0001 2019-06-10
1114586567 Malik Riley Specialist/Technologist 901 S National Ave, Springfield, MO 65897-0027 2019-06-10
1083273445 Kelli Michele Jones Specialist/Technologist 901 S National Ave, Springfield, MO 65897-0027 2019-06-10
1417412883 Madison Marie Cronin-burroughs Specialist/Technologist 901 S National Ave, Springfield, MO 65897-0027 2019-02-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467051516 Kangjun Lee Specialist/Technologist 901 S. National Ave., Springfield, MO 65897 2020-10-20
1134743073 Jared Saylor Student in an Organized Health Care Education/Training Program 901 S National Ave, Prof 160, Springfield, MO 65897 2020-06-06
1215597208 Jangsoo Kim Student in an Organized Health Care Education/Training Program 901 S National Ave., Springfield, MO 65897 2019-06-20
1104912542 Filip John Garrett Family Medicine 901 S Nationa Ave, Springfield, MO 65897 2006-10-05
1043306483 Lawrence Sylvester Shields Family Medicine 901 South National Ave, Springfield, MO 65897 2006-10-05
1750469102 Susan Wilson Essman Family Medicine 901 South National Avenue, Springfield, MO 65897 2006-11-02
1073600334 Missouri State University Psychologist 715 S Florence, Springfield, MO 65897 2006-10-06
1033763271 Ariana Nicole Hetland-purna Specialist/Technologist 1045 Grand St (art Annex Building), Springfield, MO 65897-0001 2019-07-25
1508321092 Jacob Hawkins Specialist/Technologist 901 S National Prof 160 Department of Sports Medicine, Springfield, MO 65897-0001 2019-02-08
1942764311 Tameka Stennis Specialist/Technologist 901 South National Professional Building, Springfield, MO 65897-0001 2019-01-29
Find all providers in zip 65897

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518313287 Prairie Bleeding and Clotting Center Specialist 105 S Amos Ave, Springfield, IL 62704-1528 2016-05-11
1043666894 Nina Olmeda Specialist 35 Braywood Cir, Springfield, MA 01151-1036 2016-05-11
1144681214 Vickiejean Phillips Specialist 1332 35th St, Springfield, OR 97478-5554 2016-03-16
1811354681 Monica M Jones Specialist 118 Victory Rd Apt 315, Springfield, NJ 07081-1342 2016-01-25
1215334941 Brandon Avenue Pediatrics Specialist 6126 Brandon Ave, Springfield, VA 22150-2610 2014-11-24
1558766006 Ozark Retina & Macula Specialist 1230 E Kingsley St Ste A, Springfield, MO 65804-7231 2014-10-27
1396146411 Colin Bailey Specialist 155 S Tuttle Rd, Springfield, OH 45505-1560 2014-09-08
1659771350 Ronnie L. Jackson Md Specialist 496 Northcrest Dr, Springfield, TN 37172-3972 2014-08-29
1659781136 Ashley Foucha Specialist 1342 E Primrose St Ste A, Springfield, MO 65804-4224 2014-05-05
1225452881 Elizabeth Creps Specialist 1623 21st St Ste B, Springfield, OR 97477-3417 2014-02-18
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Competitor

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City SPRINGFIELD
Zip Code 65897

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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